由迁移的腹腔镜调节性胃带膜 (LAGB) 导管引起的磁盘炎和骨髓炎
Tanner Redlin1, Andrew Holmes1, Megan Albertson2
1Diagnostic Radiology, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.
Cureus
|September 4, 2023
概括
腹腔镜调节性胃带带 (LAGB) 很少会导致椎间盘炎和骨髓炎. 一个脱离的LAGB导管通过胃和盲体被侵蚀,导致患者感染.
科学领域:
- 腹部外科 腹部外科
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 腹腔镜调节性胃带 (LAGB) 是一种常见的减肥治疗方法.
- 虽然LAGB通常是安全的,但可能导致罕见但严重的并发症.
- 磁盘炎和骨髓炎是LAGB的异常罕见并发症.
研究的目的:
- 报告一个极其罕见的二次性脑膜炎和骨髓炎病例给LAGB.
- 突出LAGB设备迁移和随后感染的潜力.
- 强调有LAGB病史的患者需要保持警.
主要方法:
- 案例报告详细介绍了一个中年妇女的演讲.
- 描述脱离的LAGB导管通过胃和壁侵蚀的情况.
- 诊断检查和治疗磁盘炎和骨髓炎.
主要成果:
- 患者出现了因脱离LAGB导管而导致的椎间盘炎和骨髓炎.
- 导管穿透了胃,并侵蚀到部.
- 这代表了少数记录的LAGB相关的椎间盘炎和骨髓炎病例之一.
结论:
- 在极为罕见的情况下,LAGB会导致严重的感染,如脑膜炎和骨髓炎.
- 设备侵蚀和迁移是这些并发症的潜在机制.
- 持续的监测和风险因素的识别对于LAGB患者至关重要.
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